Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Talitha Marie Jesse

Individual provider Dentist · NPI 1669823829

Talitha Marie Jesse is a Dentist in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona and California.

Licensed in
AZ, CA
In the registry since
2016
Specialties on file
4
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Practice location Address checks out

4550 E Bell Rd Ste 106
Phoenix, AZ 85032-9342
Phone: (602) 344-9530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D012005 (AZ)
Dentist Taxonomy 122300000X · Licence 108674 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (AZ)
Behavior Analyst Taxonomy 103K00000X

Record details

NPI number1669823829
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 28, 2016
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024
Mailing address16333 Ridgehaven Dr Unit 1002, San Leandro, CA 94578-1481

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